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Stories of grit & miracles
Here is a success story from NICU of AMRI Hospitals Bhubaneswar. 

700-grams premature baby born at 25 weeks(6month) got a new life at AMRI Hospitals Bhubaneswar  

AMRI Hospitals Bhubaneswar’s NICU team saved an 700-gram premature baby with multiple problems and issues. Here's how the medical staff at AMRI Hospitals Bhubaneswar saved the newborn baby's life.  

A woman from Puri, Odisha delivered girl child at just 25 weeks of her pregnancy in the month of June.  

After the conceiving  baby, the Parents were doing their regular check ups with Dr Monica Gupta, Gynecolgy, AMRI Hospitals. When the premature delivery happened, the desperate parents, with an aim of saving the surviving neonate, approached the department of Paediatric & Neonatology, AMRI Hopspitals.  

The baby received a thorough treatment and care under the care of Dr. Janaki Ballav Pradhan, Dr. Monica Gupta and the NICU Team of AMRI Hospitals Bhubaneswar. "The baby was extremely small and she had all the complications of prematurity. There were many continuous challenges during the treatment. The baby received 3 doses of surfactant, on ventilator support for 1 month and treatment for closure of patent ductus arteriosus. After that when she developed pneumonia and sepsis, we almost lost hope, but the baby was a fighter. With the efforts of all our nurses and doctors, we were able to overcome those issues. She is now healthy and neurologically normal. We are incredibly happy that we were able to save her life and send her home happily with her parents," said Dr Janaki Ballav Pradhan & Dr Monica Gupta who were the treating Doctors of the baby.  

"Extreme prematurity with less than 26 weeks especially with birth weight of 700-grams or less rarely survive without any neurological sequalae. Only a few case reports of this kind are found internationally. After a long wait and a lot of complications ventilator dependency, many blood transfusions  baby's general condition improved. After 102 days, the mother is feeding the baby directly and the baby discharged from the hospital with  weight of 2kg with normal neurological activities with normal hearing and eye condition” Said, Dr Janaki Ballav Pradhan. 

Treating Doctors:

Dr Janaki Ballav Pradhan , MBBS, MD (Paediatrics) , DM (Neonatology), FIAP, Consultant, Neonatology & Paediatrics

Dr. Monica Gupta, MD (AIIMS, Delhi), DM Reproductive Medicine & Surgery (AIIMS, Delhi), MRCOG (London, UK), Ex Consultant AIIMS , Delhi, Senior Consultant O&G - AMRI Hospitals, Bhubaneswar 

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Mesh & Glue tape Patient: Sheikh Salim

Mesh & Glue is the latest technology where sutures are not needed for surgeries and there is hardly any scar. The technology as used for the first time in Eastern India on a patient of TKR, where instead of stitching or stapling, the Mesh & Glue tape was used like a Band-Aid. The mesh was put on the knee that has undergone surgery, and glue was applied on the layer, using a glue pen that has a brush attached to it. The glue dries up within a few minutes and a bandage dressing is used as an extra layer of precaution. Mesh & Glue is disposable, with there being no need for the patient to return to the hospital for dressing or cutting of stitches, and they can peel it off like a Band-Aid even at home.  

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Oxynium Black Knee Implant Patient: Namita Saha

A state-of-the-art knee replacement implant built from oxynium, which is much more resilient, was done for the first time in Kolkata. Oxynium is a derivative of titanium, with a special coating that is black in colour, giving the implant its name. Unlike knee implants made of cobalt chrome, which last around 15 years and need to be replaced, oxynium knee replacements can survive without any hassles for around 35 years. It is much better for younger people, there is no debris like is noticed in ceramic implants, and the lubricating surface is much better, causing minimal abrasion.  

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Kolkata: Doctors save hand of software engineer who sustained severe cut from electric saw

KOLKATA: Fifty-year-old software engineer Manajit Kar had sustained severe hand injury on July 17 while using an electric saw. When the Jadavpur resident reached AMRI Hospital, Dhakuria, last Sunday he had lost a significant amount of blood. He was in shock, his blood pressure had dropped drastically, and his sensorium was compromised. Sight of the injury on his left arm shocked even the most seasoned hospital staff.

His brother, scientist Abhijit Kar, who accompanied him, said that the patient was cleaning his garden with an electric saw at the terrace garden of their family home on Sunday evening. "It was drizzling and he slipped, accidentally slicing off a major part of his left arm. We somehow managed to cover the wounded arm with towels and rushed him to hospital."

Dr Anirban Ghosh, Consultant reconstructive surgeon of AMRI Hospitals, pointed out that Kar's injury was severe, with the nerves, veins, arteries, tendons and muscles were all critically damaged.

"We could feel no pulse due to nature of his injury and his arm had gone cold as there was no blood circulation. He came around 7 PM and we started the surgery to restore his arm by 9 PM. The surgery went on till 1:30 AM and we were able to revive his arm," he said.

During the course of the surgery, Dr Ghosh and his team repaired the arteries, nerves, tendons, and muscles, besides reconstructing the skin and re-establishing blood circulation in his damaged arm. "We took some veins from his legs to reconstruct the veins, which were badly injured. The arm became warm soon after the surgery. However, given the extent of his injuries, it will take at least six months for full sensation to return to his left arm," Dr Ghosh said.

The reconstructive surgeon added that while the damage to his nerves was severe, since cells in the nerves grow at a rate of 1 millimetre per day, his arm will feel stronger over a period of time.

"Lam indebted to Dr Ghosh for saving my arm. He has advised me to change the dressing on regular intervals. He has also assured me that over a period of time, I will have full sensation in my arm," said Kar who was discharged from the hospital on Friday.

"When we arrived at the hospital we had almost no hope. We were scared that he would not only lose his limb, but maybe even his life. We are happy and relieved that he is doing much better and he will be able to use his left arm properly within some time." wife Anindita said.

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SYSTEMIC LUPUS ERYTHEMATOSUS WITH NEUROPATHY

Systemic lupus erythematosus (SLE) is an autoimmune disease with multisystemic involvement Pediatric systemic lupus erythematosus (pSLE) is a rare condition  representing approximately 10% of SLE cases. The nervous system involvement prevalence is estimated in 22–95% of all paediatric SLE cases  but is extremely rare as the initial clinical manifestation of the disease.  

A 11 year female child,diagonosed case of SLE with lupus nephritis outside and was on irregular treatment for last 1year presented to AMRI hospital  ED  with status epilepticus  . child had generalised edema, hypertensive, abnormal breathing pattern with low GCS. Child was intubated and shifted to PICU. Antibiotic, antiepileptic drug, antihypertensive with strict monitoring of input/output and  vitals. 2d ECHO  revealed global left ventricular hypokinesia with mild LV dysfunction with mild TR/PAH with LVH for which injection MILRINONE  and FUROSEMIDE started. In view of severe hypoalbunemia, albumin infusion was given. Inj methyl prednisolone pulse therapy started suspecting active flare up. Seizure controlled, GCS improved and maintained saturation with minimal settings in ventilator, so extubation tried but failed twice. Nephrology consultation was taken and plasmapheresis  5 cycles with IVIG at the end of each cycle was given. Inj Rituximab was started and continued monthly. Child was extubated and able to maintain saturation with oxygen support initially then room air.  MRI brain was done suggestive of  diffuse cerebral atrophy with multiple hemorrhages in cerebrum and cerebellum  with vasculitis possibly PRES. child was hemodynamically stable and oral feeds were started and discharged.

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Kolkata man with abdomen ailments has all internal organs positioned on opposite side

Kolkata, 10.06.2022: When Apurba Kumar Goswami got admitted to AMRI Hospital, Mukundapur, under General Surgeon Dr Susenjit Prasad Mahato in the third week of May, the treating doctor and his team could not have imagined the surprise that awaited them inside the 34-year-old patient. 
 
The patient had Situs Inversus Totalis (SIT), where the internal organs are transposed on the opposite side of the body. A rare anomaly, it is estimated to be found in one among 20,000 people. In Mr Goswami’s case, while his liver and gall bladder were found on the left, his stomach and spleen were inclined towards the right. Even his heart was placed on the right side of the chest, instead of the usual left positioning. 
 
Mr Goswami came in with compliant of acute pain on the left side of his stomach and was admitted through the Emergency. Dr Mahato was initially baffled but after conducting ultrasonography and other tests, he traced the pain to the patient’s gall bladder, which had got infected and was filled with pus. Since his gall bladder was on the left, which is usually found in the right side of the body, below the liver, Dr Mahato had faced initial difficulties in understanding the disease. 
 
While his inflated gall bladder had some stones inside, and the organ was pressing on to his bile ducts, he was also detected with jaundice, causing further problems. In order to surgically treat Mr Goswami’s gall bladder, the doctors had to address these issues first and the case was referred to Senior Consultant, Gastroenterology, Dr Gautam Das for ERCP. The procedure – Endoscopic Retrograde Cholangiopancreatography – is used to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas, combining X-ray and endoscope. 
 
“I conducted ERCP to implant a stent inside his bile duct so that the issue she faced could be controlled and his gall bladder could be surgically treated, which was crucial to save his life. The position of his internal organs, however, made it difficult to conduct the ERCP since the maneuvers needed to conduct the procedure is usually done with the right hand on the right side. In his case, I had to do it form the reverse angle,” Dr Das said. 
 
After a successful ERCP procedure, Dr Mahato and his team took over to conduct surgery so that his gall bladder stones and the pus-filled infection could be treated. “Both the ERCP procedure and the surgery were difficult as we had to improvise our ways to conduct surgery on organs which are not where they are supposed o be. The surgery took around two hours. Patient’s recovery has been quite good and he’s doing quite well now,” Dr Mahato said. 
 
Both Dr Das and Dr Mahato agreed that conducting ERCP and laparoscopic cholecystectomy in a patient like Mr Goswami are technically more demanding as it needs doctors to reorient their visual motor skills, focusing on the abdomen’s left upper quadrant, instead of the right upper quadrant, due the positioning of his organs. 
 
Mr Goswami, a 34-year-old Kasba resident, said that he was aware that he had dextocardia, a congenital condition where the heart is pointed towards the right instead of the left. “When I was around four years old, I had severe chest congestion and my father had taken me to a doctor, where an X-ray revealed about the unique positioning of my heart. I, however, had no idea that all my internal organs were in opposite positions,” he said. 
 
“I have been suffering from pain on the left side of my stomach since 2018 but despite conducting necessary tests nothing was revealed and doctors could not understand the reason behind the acute pain. I am grateful to Dr Mahato and Dr Das for finding out what was wrong with me and providing me the right treatment,” he added. 
 
Doctors Mahato and Das both said that Situs Inversus Totalis is a rare congenital abnormality but most affected individuals can live a normal life without any disabilities. They also pointed out that misdiagnosis of SIT can have dire consequences for a patient’s quality of life and in case of undiagnosed pain, like Mr Goswami suffered from, doctors should explore all options. 

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Endoscopic Vain Harvesting Bypass surgery

by Dr. Jitendra Nath Patnaik, Senior Cardiac Surgeon, AMRI Hospitals Bhubaneswar 

Varicose vein is a condition presents as prominent dilated leg veins over single or both legs. Very common now-a-days, associated with prolonged standing, heavy physical work and obese persons. More often neglected and ignored in early stages but may lead to worrisome complications like excessive bleeding and non healing ulcer over leg.

The traditional treatment was surgery, laser ablation and RF ablation. 

 The latest modality of treatment is Venaseal implant( Glue) injection.

Advantages being Patient can come and go home driving after the procedure . Procedure includes only a small puncture in the leg, No cuts, No anesthesia, No pain, No  scar and No Hospital stay. As no scar, cosmetically acceptable for young females. No post procedure medications is required.

This procedure is being done for the First time in Odisha by Our team in  AMRI Hospital, Bhubaneswar  in a 39 yr old male, He was suffering with a non healing venous ulcer since last few years.  Thankful to Dr Vivek, Dr Smruti, Br Anuroop  and his team, Technician team Prakash, Srikant for all the support. Special thanks To Medtronics team Dr Jayant and Mr Animesh for technical and logistic support.

Hoping that this should be accepted as common modality of treatment of Varicose vein.

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Malignant tumour weighing 2kg removed from patient's liver periphery in Kolkata

In a ground-breaking surgery, a team of surgeons in a Kolkata hospital successfully removed a tumour on the liver from a 61-year-old man, which weighed around 2 Kilos and was around 15 cm by 15 cm in size.

Dilip Kumar Halder, a resident of Nadia , is currently doing well and was discharged from on AMRI Hospitals , Dhakuria on Wednesday.

The massive malignant tumour had covered almost the whole left section of the patient’s liver, even the two crucial blood vessels in the organ, which control the inflow and outflow of blood to the liver. Senior Consultant GI & Oncosurgeon, Dr Suddhasattwa Sen pointed out that the surgery was crucial and difficult due to the size of the tumour and its position.

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